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General NPI Number Information
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NPI Number | 1053732305
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Entity Type | Organization
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Legal Business Name | CATALYST COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 505 S STANBERRY ST
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City | STANBERRY
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State | MO
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Zip | 64489-1809
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Country | US
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Telephone | 816-392-4178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65
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City | STANBERRY
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State | MO
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Zip | 64489-0065
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Country | US
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Telephone | 816-392-4178
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | CAROL HARKRIDER
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Credential |
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Telephone | 816-392-4178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MO
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